Both surgical and non-surgical approaches are used in the treatment of melanoma and non-melanoma skin cancers. (1) Treatment of non-melanoma skin cancer is made more difficult by the high frequency of recurrence. (2) For advanced melanoma, a highly successful treatment option for advanced disease has not yet to be identified. (2)
Surgical Treatment
Excision of a skin cancer lesion is a frequent treatment option. Excision may be curative for diseases that are in stages I or II (localized). (3)
Non-surgical Treatment
Alternate treatment methods are preferred for patients whose health does not allow them to enter into surgery or for patients with cancerous lesions located in regions difficult to access surgically. Patients who undergo surgery may receive additional treatments. (2)Examples of nonsurgical treatment options include:
Radiotherapy - the use of high energy waves, such as x-rays, to kill cancer cells.
Photodynamic Therapy - a type of treatment in which an "inactive" medication is applied to the area of interest and then "activated" by exposure to specific wavelengths of light. In the case of skin cancer, the agent may be applied directly to the skin in the form of a liquid. (4)
Topical Drug Treatments: an ointment containing imiquimod (Aldara™) has been used to treat basal cell carcinoma, genital warts and actinic keratosis. Imiquimod is an immune response modifier that stimulates the immune system to eliminate cancer cells. View the package insert.
Rubin AI, Chen EH, Ratner D. "Basal-cell carcinoma." New England Journal of Medicine. 2005 Nov 24;353(21):2262-9. [PUBMED]
National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology, v2.2007. www.nccn.org
Rager EL, Bridgeford EP, Ollila DW. "Cutaneous melanoma: update on prevention, screening, diagnosis, and treatment." American Family Physician. 2005 Jul 15;72(2):269-76. [PUBMED]
Fritsch C, Goerz G, Ruzicka T. "Photodynamic therapy in dermatology Archives of Dermatology." 1998 Feb;134(2):207-14. [PUBMED]